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Policymakers should consider the above findings given that smoking initiation occurs at a very early age, thereby trapping young adults into a vicious cycle of nicotine dependence with severe negative health trajectories for the rest of their lives

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The spread (metastasis) to distant sites (M): Has cancer spread to distant organs such as the lungs

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Vaping, E-Cigarettes, and Public Policy Toward Alternatives to Smoking For decades, lawmakers and regulators have used taxes, bans, and burdensome regulations as part of their attempt to reduce the negative health effects of smoking